Request an appointment

If you would like to make an appointment with one of our specialists, please email us with your request.

Thank you for requesting an appointment. A member of our staff will respond to your request no later than five to seven business days. Our Request an Appointment is not a confirmed appointment, and does not guarantee an appointment with the physician or provider requested. This service is not for emergent conditions. A member of our staff will confirm the details of your appointment and contact you during normal business hours: Monday through Friday from 8 a.m. to 5 p.m. We will make every effort to assist you in finding a provider if you do not have one. Please wait to receive your appointment confirmation before coming to the hospital or clinic.

All requests are confidential and are reviewed on a case by case basis. Please note, due to current provider shortages in family and internal medicine, it is possible that we may not be able to place you right at this time.

Note: This online request form is meant for new patients with non-urgent problems. If you require immediate medical attention, please call 911, visit the emergency room, see your current provider or visit our Ready Care Clinic for same day care at 855.460.CARE (2273) at 15 W. 3rd Street, Sterling, IL.

*First name: Required

*Last name: Required

Middle initial:

Previous last name, if applicable:

*Date of birth:Required

*Email:Please enter a valid email address.

*Gender:Required

Male
Female

*Home phone:Required

*Cell phone:Required

*Address:Required

*City:Required

*State:Required

*ZIP:Required

*What language do you speak?Required

*CGH provider with whom you would like to establish. Below are the providers accepting new patients. (You may choose more than one.)
Required